Broeckel, Philip George
Broeckel, Philip George is an sole proprietor health care provider with primary practice located at 9888 Genesee Ave , La Jolla CA 92037-1205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Broeckel, Philip George can be contacted via phone (858) 626-6151.Contact Information
Primary practice address
9888 Genesee Ave
La Jolla CA 92037-1205
Phone: (858) 626-6151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | G37332 | California |
Profile Details
| NPI number | 1629146600 |
|---|---|
| LBN Legal business name | Broeckel, Philip George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Oct 19th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629146600 | NPPES |
| California | Other | MEDICAL LICENSE | G37332 |
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